*Optional: If price at purchase is left blank, basis calculation will be made based on purchase price on $1.



Consult Your Tax Advisor: This information does not constitute tax advice. It does not purport to be complete or to describe the consequences that may apply to particular categories of shareholders. You should consult a tax advisor regarding the calculation of your tax basis.

Consult Your Tax Advisor: This information does not constitute tax advice. It does not purport to be complete or to describe the consequences that may apply to particular categories of shareholders. You should consult a tax advisor regarding the calculation of your tax basis.